Original Article
 

Indoor Dust Allergen Levels in the Homes of Patients with Childhood Asthma: An Experience From Southwestern Iran

Abstract

Exposure to indoor allergens plays an important role in the etiology of asthma. This study was designed to quantify indoor allergens from homes of families that had at least one case of childhood asthma at home in a southwestern city of Iran. The relationship between the indoor allergen levels and home characteristics was also investigated. Dust samples were collected from the bedrooms and the kitchens of 35 homes where children with persistent asthma were living. The levels of indoor allergens were measured by enzyme linked immunosorbent assay (ELISA). Detectable amounts of mite, mouse and cockroach allergens were found in all evaluated places. None of our patients were exposed to a threshold concentration of indoor allergen for sensitizing at home. Regarding of mite allergens, the levels of Der f1 were significantly higher than Der p1 and a direct correlation was observed between living in an apartment and Der f1 levels. Moreover, Fel d1 (cat) and Bla g1 (cockroach) allergens were found in the children’s bedrooms more frequently than those in the kitchens. In this study, direct associations were obtained between Bla g1 allergen and the duration of occupancy and between Fel d1 and average home size. A total of 34.2% of the patients showed positive skin reactions to at least one of the tested allergens as 17.1% of them showed reactivity to D. pteronyssinus. Proper controlling of cockroaches and mice by public health officials would be a practical approach to avoid inducing asthma or worsening the symptoms.

1. Kanchongkittiphon W, Gaffin JM, Phipatanakul W. The indoor environment and inner-city childhood asthma. Asian Pac J Allergy Immunol 2014; 32(2):103-10.

2 .Permaul P, Hoffman E, Fu C, Sheehan W, Baxi S, Gaffin J, et al. Allergens in urban schools and homes of children with asthma. Pediatr Allergy Immunol 2012; 23(6):543-9.

3. Peat JK, Tovey E, Toelle BG, Haby MM, Gray EJ, Mahmic A, et al. House dust mite allergens. A major risk factor for childhood asthma in Australia. Am J RespirCrit Care Med 1996; 153(1):141-6.

4. Heymann PW, Chapman MD, Aalberse RC, Fox JW, Platts-Mills TA. Antigenic and structural analysis of group II allergens (Der f II and Der p II) from house dust mites (Dermatophagoides spp). J Allergy Clin Immunol 1989; 83(6):1055-67.

5. Charpin C, Mata P, Charpin D, Lavaut MN, Allasia C, Vervloet D. Fel d1 allergen distribution in cat fur and skin. J Allergy Clin Immunol 1991; 88(1):77-82.

6. Munir AK, Einarsson R, Dreborg S. Variability of airborne cat allergen, Fel d1, in a public place. Indoor Air 2003; 13(4):353-8.

7. Phipatanakul W. Rodent allergens. Curr Allergy Asthma Rep 2002; 2(5):412-6.

8. Sookrung N, Chaicumpa W. A revisit to cockroach allergens. Asian Pac J Allergy Immunol 2010; 28(2-3):95-106.

9. Namvar S, Warn P, Farnell E, Bromley M, Bowyer P, Fraczek M, et al. Aspergillus fumigatus proteases, Asp f 5 and Asp f 13, are essential for airway inflammation and remodeling in a murine inhalation model. Clin Exp Allergy 2015; 45(5):982-93.

10. Amoli K, Cunnington AM. House dust mites in Iran. Clin Allergy 1977; 7(1):93-101.

11. Soltani A, Azizi K, Saleh V, Dabaghmanesh T. The fauna and distribution of house dust mites in residential homes of Bandar Abbas District, Southern Iran. Exp Appl Acarol 2011; 54(3):269-76.

12. National Asthma Education and Prevention Program. Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma-Summary Report 2007. J Allergy Clin Immunol 2007; 120(5 Suppl):S94-138.

13. Fereidouni M, Fereidouni F, Hadian M, Nourani Hasankiadeh Sh, Mazandarani M, Ziaee M. Evaluation of the level of house dust mite allergens, Der p 1 and Der f 1 in Iranian homes, a nationwide study. Allergol Immunopathol (Madr) 2013; 41(6):381-6.

14. Arbes SJ Jr, Cohn RD, Yin M, Muilenberg ML, Burge HA, Friedman W, et al. House dust mite allergen in US beds: results from the First National Survey of Lead and Allergens in Housing. J Allergy Clin Immunol 2003; 111(2):408-14.

15. Park HJ, Lee JH, Park KH, Ann HW, Jin MN, Choi SY, et al. A nationwide survey of inhalant allergens sensitization and levels of indoor major allergens in Korea. Allergy Asthma Immunol Res 2014; 6(3):222-7.

16. Wahn U, Lau S, Bergmann R, Kulig M, Forster J, Bergmann K, et al. Indoor allergen exposure is a risk factor for sensitization during the first three years of life. J Allergy Clin Immunol 1997; 99(6 pt 1):763-9.

17. Zhang C, Gjesing B, Lai X, Li J, Spangfort MD, Zhong N. Indoor allergen levels in Guangzhou city, southern China. Allergy 2011; 66(2):186-91.

18. Mihrshahi S, Marks G, Vanlaar C, Tovey E, Peat J. Predictors of high house dust mite allergen concentrations in residential homes in Sydney. Allergy 2002; 57(2):137-42.

19. Munir AK, Einarsson R, Dreborg S. Variability of airborne cat allergen, Fel d1, in a public place. Indoor Air 2003; 13(4):353-8.

20. Stelmach I, Jerzynska J, Stelmach W, Majak P, Chew G, Kuna P. The prevalence of mouse allergen in inner-city homes. Pediatr Allergy Immunol 2002; 13(4):299-302.

21. Ohman JL, Hagberg K, MacDonald MR, Jones RR, Paigen BJ, Kacergis JB. Distribution of airborne mouse allergen in a major mouse breeding facility. J Allergy Clin Immunol 1994; 94(5):810-7.

22. Coleman AT, Rettiganti M, Bai S, Brown RH, Perry TT. Mouse and cockroach exposure in rural Arkansas Delta region homes. Ann Allergy Asthma Immunol 2014; 112(3):256-60. 23. Kanchongkittiphon W, Gaffin JM, Phipatanakul W. The indoor environment and inner-city childhood asthma. Asian Pac J Allergy Immunol 2014; 32(2):103-10.

24. Chew GL, Perzanowski MS, Canfield SM, Goldstein IF, Mellins RB, Hoepner LA et al. Cockroach allergen levels and associations with cockroach-specific IgE. J Allergy Clin Immunol 2008; 121(1):240-5.

25. Tungtrongchitr A, Sookrung N, Munkong N, Mahakittikun V, Chinabut P, Chaicumpa W, et al. The levels of cockroach allergen in relation to cockroach species and allergic diseases in Thai patients. Asian Pac J Allergy Immunol 2004; 22(2-3):115-21.

26. Moghtaderi M, Aleyasin S, Amin R, Kashef S. Skin test reactivity to fungal aeroallergens in asthmatic children in southern Iran. Iran J Pediatr 2010; 20(2):242-3.

27. Kosik-Bogacka DI, Kalisinska E, Henszel L, Kuzna-Grygiel W. Seasonal dynamics of house dust mites in dust samples collected from sleeping places in north-western Poland. Zoonoses Public Health 2012; 59(1):8-15.

28. Huang SK, Zhang Q, Qiu Z, Chung KF. Mechanistic impact of outdoor air pollution on asthma and allergic diseases. J Thorac Dis. 2015;7(1):23-33.

29. Gheybi MK, Movahed AM, Dehdari R, Amiri S, Khazaei HA, Gooya M, et al. Dusty Air Pollution is Associated with an Increased Risk of Allergic Diseases in Southwestern Part of Iran. Iran J Allergy Asthma Immunol. 2014;13(6):404-11.

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IssueVol 15, No 2 (2016) QRcode
SectionOriginal Article(s)
Keywords
Allergens Asthma House dust Immunologic sensitization

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How to Cite
1.
Moghtaderi M, Farjadian S, Fereidouni M, Nasiri M, Nejat A. Indoor Dust Allergen Levels in the Homes of Patients with Childhood Asthma: An Experience From Southwestern Iran. Iran J Allergy Asthma Immunol. 2016;15(2):132-137.